Cacciola John S, Dugosh Karen Leggett, Camilleri Amy C
DeltaMetrics and Treatment Research Institute, Philadelphia, Pennsylvania 19106-3414, USA.
Subst Use Misuse. 2009;44(3):305-21. doi: 10.1080/10826080802344732.
It is important to understand whether the number of prior treatment episodes relate to treatment completion, discharge status, and 6-month outcomes. The data set contains information on 2,429 clients in treatment. A modified Addiction Severity Index was administered at the time of admission and at 6-months postdischarge. Additionally, length of stay and discharge status data were obtained. ANOVAs, MANOVAs, and chi(2) tests were used. Clients with the most prior treatment episodes had greater baseline substance use and psychosocial severity, and were more likely to be treated in residential settings. Nonetheless, treatment acceptance was greatest for these clients. Clients with no prior treatment reported the least acceptance. Treatment completion rates did not vary as a function of treatment experience. Clients achieved positive changes in multiple life domains regardless of treatment history. Nevertheless, at admission, discharge and follow-up, clients with >or= 2 treatments generally had greater problems than clients with fewer treatments.
了解既往治疗次数是否与治疗完成情况、出院状态及6个月的治疗结果相关很重要。该数据集包含2429名接受治疗的客户的信息。在入院时及出院后6个月采用了改良的成瘾严重程度指数。此外，还获取了住院时间和出院状态数据。使用了方差分析、多变量方差分析和卡方检验。既往治疗次数最多的客户基线物质使用和心理社会严重程度更高，且更有可能在住院环境中接受治疗。尽管如此，这些客户的治疗接受度最高。无既往治疗经历的客户报告的接受度最低。治疗完成率并未因治疗经历而有所不同。无论治疗史如何，客户在多个生活领域都取得了积极变化。然而，在入院、出院及随访时，接受过≥2次治疗的客户通常比治疗次数较少的客户问题更多。
